{"id":29479,"date":"2015-06-15T12:56:59","date_gmt":"2015-06-15T11:56:59","guid":{"rendered":"http:\/\/www.cirurgiavet.com\/web\/?p=29479"},"modified":"2019-01-15T03:07:35","modified_gmt":"2019-01-15T03:07:35","slug":"claudicacao-neurogenica","status":"publish","type":"post","link":"http:\/\/www.cirurgiavet.com\/web\/claudicacao-neurogenica\/","title":{"rendered":"Claudica\u00e7\u00e3o neurog\u00e9nica"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.47&#8243; custom_padding=&#8221;0px|0px|20.6563px|0px&#8221; next_background_color=&#8221;#000000&#8243;][et_pb_row admin_label=&#8221;row&#8221; custom_padding=&#8221;40px|||&#8221; column_padding_mobile=&#8221;on&#8221; background_position_1=&#8221;top_left&#8221; background_repeat_1=&#8221;no-repeat&#8221; _builder_version=&#8221;3.0.51&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_cta admin_label=&#8221;CASOS CL\u00cdNICOS &#8211; NEUROCIRURGIA (n\u00e3o editar)&#8221; title=&#8221;CASOS CL\u00cdNICOS &#8211; NEUROCIRURGIA &#8221; _builder_version=&#8221;3.19.4&#8243; use_background_color=&#8221;off&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;light&#8221; saved_tabs=&#8221;all&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_text_size__hover=&#8221;null&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover=&#8221;null&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover=&#8221;null&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_text_color__hover=&#8221;null&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover=&#8221;null&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover=&#8221;null&#8221; button_border_width__hover_enabled=&#8221;off&#8221; 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title_all_caps=&#8221;off&#8221; custom_margin=&#8221;0px||0px|&#8221; custom_padding=&#8221;0px|||&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;3.0.74&#8243; custom_padding=&#8221;0px|0px|50.5167px|0px&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; padding_mobile=&#8221;off&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;FOTO E APRESENTA\u00c7\u00c3O&#8221; _builder_version=&#8221;3.19.4&#8243;]<\/p>\n<p><span class=\"Azul\"><span class=\"text-headers-3 Azul\"><span class=\"Azul IL\" style=\"color: #1e73be;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-29484 alignleft\" src=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis_id.jpg\" alt=\"\" width=\"100\" height=\"133\" \/><\/strong><\/span><\/span><\/span><\/p>\n<div class=\"text-headers-3\"><span class=\"Azul IL\" style=\"color: #1e73be;\"><strong>&#8220;Bacis&#8221;<\/strong><\/span><br \/><span class=\"Azul IL\" style=\"color: #1e73be;\"><em><span class=\"text-headers-4\">C\u00e3o de \u00c1gua Portugu\u00eas com 10 anos de idade<\/span><\/em><\/span><\/div>\n<div class=\"text-headers-3\">\u00a0<\/div>\n<div>Claudica\u00e7\u00e3o por compress\u00e3o nervosa na regi\u00e3o da cauda equina.<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;row&#8221; custom_padding=&#8221;0px|0px|27px|0px&#8221; padding_mobile=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; _builder_version=&#8221;3.19.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;TEXTO DO CASO CL\u00cdNICO&#8221; disabled=&#8221;off&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.19.4&#8243;]<\/p>\n<hr \/>\n<h3>1 &#8211; Imagem radiogr\u00e1fica<\/h3>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-29483\" src=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis1.jpg\" alt=\"\" width=\"500\" height=\"375\" srcset=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis1.jpg 500w, http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis1-300x225.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><em>Colapso do espa\u00e7o intervertebral L7-S1; esclerose das placas terminais das v\u00e9rtebras e oste\u00f3fito ventral proeminente.<\/em><\/p>\n<hr \/>\n<h3>2 &#8211; Claudica\u00e7\u00e3o neurog\u00e9nica<\/h3>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-29482\" src=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis2.jpg\" alt=\"\" width=\"500\" height=\"375\" srcset=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis2.jpg 500w, http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis2-300x225.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><em>Claudica\u00e7\u00e3o severa do membro posterior esquerdo.<br \/>Apresentava dor \u00e0 palpa\u00e7\u00e3o da regi\u00e3o lombossagrada.<\/em><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"\/\/www.youtube.com\/embed\/MhOVGY63dbc\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<hr \/>\n<h3>3 &#8211; Imagem intra-cir\u00fargica <\/h3>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-29481\" src=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis3.jpg\" alt=\"\" width=\"444\" height=\"500\" srcset=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis3.jpg 444w, http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis3-266x300.jpg 266w\" sizes=\"(max-width: 444px) 100vw, 444px\" \/><em>Notar o espessamento e altera\u00e7\u00e3o de cor da ra\u00edz esquerda de S1 (seta preta) o que se torna f\u00e1cil comparando com a ra\u00edz nervosa (nervo) \u00e1 sua direita.<br \/><\/em>A an\u00e1lise revelou fibrose e altera\u00e7\u00f5es inflamat\u00f3rias cr\u00f3nicas da referida ra\u00edz nervosa.<\/p>\n<hr \/>\n<h3>4\u00a0&#8211; Descompress\u00e3o cir\u00fargica da cauda equina<\/h3>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-29480\" src=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis4.jpg\" alt=\"\" width=\"500\" height=\"445\" srcset=\"http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis4.jpg 500w, http:\/\/www.cirurgiavet.com\/web\/wp-content\/uploads\/2019\/01\/bacis4-300x267.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><em>10 dias ap\u00f3s a descompress\u00e3o cir\u00fargica observa-se remiss\u00e3o do quadro doloroso.<\/em><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"\/\/www.youtube.com\/embed\/8jLBkNKXvTs\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">\u00a0<\/p>\n<hr \/>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; 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